We are encouraged that CMS has clearly and explicitly affirmed that “fostering an affordable, accessible health care system that puts patients first” is one of the Agency’s most important goals. We applaud CMS for maintaining transparency in charting a “new direction” for the CMMI and engaging stakeholders in its ongoing effort to: promote patient-centered care and test market-driven reforms that empower beneficiaries as consumers, provide price transparency, increase choices and competition to drive quality, reduce costs, and improve outcomes.